Comments on: Limit specialists? http://www.kevinmd.com/blog/2007/08/limit-specialists.html medical blog Wed, 17 Mar 2010 23:46:10 -0400 http://wordpress.org/?v=2.8.4 hourly 1 By: Anonymous http://www.kevinmd.com/blog/2007/08/limit-specialists.html/comment-page-1#comment-78935 Anonymous Mon, 13 Aug 2007 13:31:00 +0000 http://clients.emmense.com/kevinmd/2007/08/limit-specialists.html#comment-78935 As others said, specialty training is already limited by the government. Those slots happen to be disproportionately preferred to primary care amongst U.S. graduates for obvious reasons, leaving more primary care residency training places for international medical graduates, which is the way things have been for many years.<br/><br/>If you want people to choose primary care over specialties, then primary care has to become more attractive to practice. It has to pay better. It really is that simple. As others said, specialty training is already limited by the government. Those slots happen to be disproportionately preferred to primary care amongst U.S. graduates for obvious reasons, leaving more primary care residency training places for international medical graduates, which is the way things have been for many years.

If you want people to choose primary care over specialties, then primary care has to become more attractive to practice. It has to pay better. It really is that simple.

]]> By: Anonymous http://www.kevinmd.com/blog/2007/08/limit-specialists.html/comment-page-1#comment-78933 Anonymous Mon, 13 Aug 2007 12:26:00 +0000 http://clients.emmense.com/kevinmd/2007/08/limit-specialists.html#comment-78933 Oh the wonders of central planning. A series of five year plans produced by the illustrius seers of governmennt wisdom using their crytal balls. <br/><br/>The more rational way to govern things in a country that generally operates on the free market supply/demand principle is to follow the 'pay for performance' mantra. If you want people to perform generalist care, then the government needs to be prepared to pay for such services. <br/><br/>People cannot be strong armed into careers they don't want by removing other options. Medical students are an academically bright lot and will find a way to earn a decent living in something that interests them. They will not cheerfully accept primary care merely because specialty training was limited by the government. Oh the wonders of central planning. A series of five year plans produced by the illustrius seers of governmennt wisdom using their crytal balls.

The more rational way to govern things in a country that generally operates on the free market supply/demand principle is to follow the ‘pay for performance’ mantra. If you want people to perform generalist care, then the government needs to be prepared to pay for such services.

People cannot be strong armed into careers they don’t want by removing other options. Medical students are an academically bright lot and will find a way to earn a decent living in something that interests them. They will not cheerfully accept primary care merely because specialty training was limited by the government.

]]> By: Anonymous http://www.kevinmd.com/blog/2007/08/limit-specialists.html/comment-page-1#comment-78912 Anonymous Sun, 12 Aug 2007 19:59:00 +0000 http://clients.emmense.com/kevinmd/2007/08/limit-specialists.html#comment-78912 Yeah! Now that I have mine, lets limit any more comming in. Yeah! Now that I have mine, lets limit any more comming in.

]]> By: Anonymous http://www.kevinmd.com/blog/2007/08/limit-specialists.html/comment-page-1#comment-78905 Anonymous Sun, 12 Aug 2007 17:55:00 +0000 http://clients.emmense.com/kevinmd/2007/08/limit-specialists.html#comment-78905 Specialists are already limited to a great extent. One of the specialties that comes to mind is plastic surgery. There are 82 spots in the country that students can match into right out of med school. I think there are about 300 dermatology positions nationwide for 20,000 graduating doctors every year. <br/><br/>If you are going to start telling students what specialty or group of specialties they must choose, then communism is already here and the terrorists have won. Specialists are already limited to a great extent. One of the specialties that comes to mind is plastic surgery. There are 82 spots in the country that students can match into right out of med school. I think there are about 300 dermatology positions nationwide for 20,000 graduating doctors every year.

If you are going to start telling students what specialty or group of specialties they must choose, then communism is already here and the terrorists have won.

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